Apoplexy ye ovary chirwere chinokonzera gynecological, icho chinopesana nekuputsa kwehutano hwehutano hwepabonde. Ngationgororei hutachiwana mune zvakadzama, tsvaga zvikonzero, mavara uye zviratidzo zveavoan apoplexy, nzira uye nzira dzokurapa.
Ovarian apoplexy - zvinokonzera
Ovary rupture, izvo zvinoita kuti zvive zvakasiyana, zvinowanikwa munharaunda ye1% yevakadzi vane gynecological pathology. Zvizhinji zvekupopotedzana zvinokanganisa vasikana makore makumi maviri nemaviri. Izvi zvinokonzerwa nehuwandu hwehuputi hwechirwere hunowanzotambudzwa nehupenyu, hwekuchinja kwemhepo, iyo inofambidzana nekuwedzera kwekupa ropa kune nhengo dzepabonde dzepaduku duku. Apoplexy yeropa rekumucheto haigoni kudarika, nekuda kwekupa ropa shoma.
Saka, mugore re90% revakadzi vane chirwere ichi, chirwere ichi chiri pakati pemhepo kana chikamu chechipiri. Pakarepo panguva ino kune kuwedzerwa kwekupera kwemitsipa yeropa, kuizadza neropa muhuwandu hwehuwandu. Somugumisiro, kumanikidzirwa pamashizha ekuvhara mazamu kuwedzera, izvo zvisingakwanisi kumira mutoro, zvinoparadzwa. Mukuwedzera, pane zvinonzi preisposing zvinhu:
- neuroendocrine matenda;
- zvirwere zvinoputika zvekuberekwa, pamwe chete nekushanduka kwekushandura mukati mavari mavari;
- kumira mumapapiro;
- varicose veins ;
- kunyanya kuita basa mukati mekutenderera;
- kusvibiswa kwenzvimbo yezvikamu zvepabonde;
- matumbo mumatombo maduku;
- kuvhiringidzwa kweropa coagulation system;
- zveruzhinji nyanzvi;
- dambudziko remuviri;
- kuita zvepabonde zvechisimba.
Ovarian apoplexy - mafomu
Tichifunga nezvechikonzero chekuvhara mazai mukati mevakadzi, tinocherechedza kuti chirwere chacho chine marudzi akawanda. Nokudaro, zvichienderana nekliniki zviratidzo, maitiro anotevera ehutachiona hwakadai sokuputika kwechirwere chinoratidzika:
- zvinorwadza - pamwe chete nemarwadzo ekurwadziwa, kusuruvara uye kurutsa, fivha;
- anemic - chiyeuchidzo chekuratidzwa kwebhuku rinoputika rinoitika neEctopic pregnancy, chiratidzo chikuru chinobuda ropa.
Mukuwedzera, kune chikwata chemaotican apoplexy maererano nekurasika kweropa. Inoshandiswa zvakananga mukugadzirwa kwechirongwa chekurapa. Vanachiremba vakasarudza:
- dhigirii-ruzivo rweropa rwakabudiswa kubva munhengo dzepabonde harisi kupfuura 100-150 ml;
- chiyero - kurasikirwa kweropa mukati memiganhu ye 150-500 ml;
- inorema-iyo izwi rakarasika rinopfuura 0.5 litita.
Apoplexy ye ovary - inorwadza fomu
Chirwere chechirwere chakanaka, chimiro chinorwadza, chinoratidzwa nechisimba, kurova marwadzo, iyo inofambidzana neyeusea. Mufananidzo wemuviri mutsvuku - kukanganiswa kwemisungo yepamuviri yepamusoro, kuderedzwa kwezvinokonzerwa nehana, kupisa kweganda, kurwadziwa kwemakumbo, kunokonzera kuongorora chirwere. Kazhinji, vanachiremba vanovhiya vanokanganisa kuwedzera kwekuwedzera. Kusavapo kweropa rekunze hakubvumi mukadzi kuti azviongorore kuti aone chirwere ichi uye kutsvaga kurapwa.
Hemorrhagic ye ovarian apoplexy
Nemhaka yezvinyanzvi zvekupa ropa, hutachiona hwehutachiona hwehutachiona, hupfumi hwehutori hwakanaka hwakawanda. Fomu yeHemorrhagic (anemic) inoperekedzwa neropa rakakura richibva kumakumbo edzimba. Kazhinji iri mukati - ropa rinodururirwa mukati mechidziro chemuviri. Chiratidzo chechimiro chinowedzera:
- kushaya simba;
- kureba kweganda;
- chizoro;
- kukanganisika;
- donho rinopinza muropa;
- kuwedzera kwenhamba yemwoyo;
- akaoma muromo we mucous membrane;
- kurutsa;
- kuwedzerwa kwechikwata chemaitiro;
- kazhinji kukurudzira kuzvidzivirira.
Apoplexy of the ovari - zviratidzo
Apo kuvhara kwemavara kunowedzera, zviratidzo zvinodaro zvokuti zvakaoma kukanganisa kutanga kwehutano hwehutano. Vakadzi vanocherechedza kurwadziwa kwepakarepo, kwakapinza mumimba pasi. Icho chigumisiro chekutsamwiswa kwezviputi zvemuviri wevari, maitiro eropa pane peritoneum. Izvi zvinokonzera kuputika kwezvivako zvemasumbu zvemuviri mudumbu. Iyo kurwadziwa kune nzvimbo yakananga, inobuda kubva kune rumwe rutivi rweganda rakakanganiswa. Vakadzi vanocherechedza:
- utera hwakasimba;
- chizoro;
- kurutsa;
- nausea;
- kurasikirwa kwekuziva.
Nenzira inorwadza yehutachiona, kushaya ropa kune chimiro chemuviri hakusipo. Ropa rakanyonganiswa mumatumbu e follicle, iyo yemaviri muviri. Muchiitiko ichi, kliniki yemifananidzo yezvinyoro zvinyoronyoro uye zvinorwadza zvakafanana. Paunenge uchiongorora mukadzi mune chigaro chechirwere chechibereki, chibereko chinenge chichienzaniswa, chirwere chinenge chisina kuwedzera uye chinorwadza. Vagina vaults deepen, ivai vakasununguka.
Ovarian apoplexy - diagnosis
Nekubatsira kwe ultrasound ye nhengo dzepachiviri, hazvigoneki kufungidzira kuchinja kwakadaro. Chiremba anoona chete boka reropa mukati mekunze. Zvakananga uye izvi ndizvo zvakagadzirwa neavary pa ultrasound. Nokuda kwekusiyanisa kuongororwa, kuongorora komukadzi ari pachigaro kunodiwa. Mukuwedzera, kuongorora kushandiswa kwekuputsa:
- kuumbwa kwehemoglobin;
- kurohwa kwepashure vaginal vaginal vault;
- laparoscopy.
Zviratidzo zvekudarika ndezvakaoma, kurwadziwa kusingaregereki mukati kana muhafu yepiri yekuenda kumwedzi. Mwedzi wega wega mushure mekunyorwa kwechirwere kunogona kusunungurwa kana kusavapo. Nenguva iyo marwadzo anowanzova zviratidzo zvekuongorora kwakakwana kwehutano hwekubereka. Kutanga kuongororwa uye nokukurumidza kupa rubatsiro rwekukurumidzira kusabvisa ngozi yezvinetso, kuderedza nguva yekudzorera.
Ovarian apoplexy - kurapa
Nehutano hwakadai sekuputika kwemaawa, kurapwa kunosanganisira kupiwa kwehutano hwekukurumidzira. Kusuruvara kwakanyanya kunogona kutungamirira kurufu. Conservative therapy inowanikwa mumatambudziko mashoma, kana zviratidzo zvekubuda ropa zvisingawaniki. Nekuwedzera kwezviratidzo, kuwedzera kwehuwandu hweropa rakarasika, kupindira kwekuvhiya kunodiwa. Iyo shanduro yezviito zvezvechipatara yakabatana zvakananga nekuratidzwa, kuoma kwezviratidzo, hukuru hwekukundwa kwehutachiva hutachiona.
Ovarian rupture - kurapwa pasina chirwere
Kuchengetedza kurapwa kweavarian apoplexy kunokwanisika neine chiremera chiduku chechionda che gland. Iyi nzira yerapi inoshandiswa kana izwi remurwere akarasika ropa risingapfuuri 150 ml. Mukuita kudaro, vanoshandisa:
- ice pane pasi pemimba;
- hemostatic preparations (Etamsilate);
- antispasmodics - Papaverina hydrochloride, But-Shpa;
- vitamini - thiamine, pyridoxia, cyanocobalamin.
Muchikamu chekudzorera, mushure mokubviswa kwemazuva akaoma, physiotherapy inorayirwa kuti iwanezve kukurumidza:
- electrophoresis ne calcium chloride;
- Microwave therapy;
- nzizi dzeBernard ;
- diathermy.
Kuchengetedza kurapwa kunoitwa chete muchipatara, pasi pekuchengetedzwa nguva dzose kwechiremba. Nekuvandudzwa kwekudzokorora kunorwadza kwekutambudzika, kuora kwemamiriro ezvinhu, kusagadzikana kwemararamiro ehemodynamic, kuwedzerwa kwehuwandu hweropa rakaunganidzirwa mumupata we peritoneum, ovarian apoplexy inoda kupindira chirwere. Inogadzirwa ne laparoscopy, iyo inokurumidza kupora nguva.
Apoplexy of the ovary - operation
Iyi nzira yerapi ndiyo nzira huru yepoplexy. Munguva yekuvhiya, vanachiremba vanoongorora nzvimbo yechironda, kubvisa ropa kubva mudumbu remuviri, uye kuvhara ovary. Nechirwere chakakura cheglandu, mubvunzo unomuka wekuti ungaubvisa sei. Kana kupera kwechivharo ichiradzika, kushanda kunogadziriswa pasi pemamiriro anotevera:
- Muchikamu chemuviri chinopfuura 150 mL yeropa rakawedzerwa, iyo inotungamirirwa ne ultrasound;
- yakarongedza kurapwa kwakachengetedza haina kuunza chiitiko chakatarisirwa mukati memazuva maviri;
- Pane chido chekusiyanisa kuongororwa kwehutachiona hwemagynecological uye chirwere.
Ovarian rupture - migumisiro
Mushure mokunge apoplexy ye ovary, pasina kutarisirwa kwechiremba, zvinetso zvinotevera zvinobvira:
- hemorrhagic shock ;
- Nhengo yekubatanidza mumatombo maduku;
- kudzokorora kweglandu;
- secondary infertility;
- lethal outcome.
Ndinogona here kutora pamuviri mushure mokunge ndava nemapurisa?
Kusununguka mushure mepoplexy ye ovary inogoneka. Kana dare risina kubviswa panguva yekurapa, mukadzi wacho ane mukana wokuva mai. Zvisinei, mimba inobvira ne 1 gland rinoshanda. Kunyanya kunetseka kwachiremba apo mukuronga kuberekwa kunokonzerwa nemapikisi mudiki madiki. Aya maitiro anodzivisa hutachiona hwehutachiona hunoitika. Kuti vashandise, varwere vakawanda vanomanikidzwa kushandisa mushonga wemishonga, anti-inflammatory drugs. Mimba inenge isingabviri apo zvose zvipembenene zvinobviswa panguva yekurapa.